In this episode of the PT Rebels podcast, Dr. Gina Fick, PT, ScD, breaks down why injuries often persist—even after physical therapy, rest, or surgery. She uncovers five commonly overlooked factors that stall healing: improper load management, faulty movement patterns, poor recovery and sleep, compensations from past or current injuries, and psychological barriers such as fear avoidance. Dr. Gina also shares practical, actionable strategies to address each issue, highlighting the need for a holistic approach to rehab. From detailed movement assessments and progressive loading to prioritizing recovery and mental well-being, this episode offers a roadmap to breaking the pain cycle and achieving lasting results. Tune in to learn how to move beyond short-term fixes and build true, long-term recovery.

00:00 Introduction to Healing Challenges

00:48 Reason 1: Poor Load Management

01:53 Reason 2: Poor Movement Patterns

03:08 Reason 3: Inadequate Recovery and Sleep

04:22 Reason 4: Compensations from Other Injuries

06:02 Reason 5: Psychological Factors and Fear Avoidance

07:28 Recap and Final Thoughts